Successful Treatment of Acute Respiratory Distress Syndrome Following Cardiopulmonary Resuscitation in the Context of Aluminum Phosphide Poisoning: A Case Report

Aluminum phosphide (ALP) is a pesticide. With its high cellular toxicity, it is one of the common causes of suicide in developing countries. Here we report a 19-year-old female who presented to the emergency department after ALP poisoning. Initial emergency treatments were administered. After eight hours, due to respiratory distress, she was intubated. Immediately after intubation, cardiac arrest occurred, and successful resuscitation was performed. Subsequently, the patient developed acute respiratory distress syndrome. With proper ventilator adjustment on the third day, her hemodynamic status stabilized. After 72 hours, a CT scan showed improvement in lung opacities. The patient was successfully extubated, transferred to the general ward, and discharged after psychiatric counseling.